A nurse is assessing a child who is 2 hr postoperative following a cardiac catheterization and finds the dressing is saturated with blood. Which of the following actions should the nurse take first?
Apply pressure just above the insertion site.
Monitor the pulse distal to the insertion site.
Obtain vital signs.
Reinforce the dressing.
The Correct Answer is A
A. This is the first step to control bleeding and prevent further blood loss.
B. Monitoring the distal pulse is important, but controlling bleeding takes precedence.
C. Vital signs can wait momentarily until the bleeding is under control.
D. Reinforcing the dressing may be necessary, but controlling bleeding is the immediate priority.
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Related Questions
Correct Answer is ["B","C","D"]
Explanation
A. Partial thromboplastin time (PTT) is not typically used in the diagnosis of rheumatic fever.
B. C-reactive protein (CRP) is elevated in cases of inflammation and can help confirm the diagnosis of rheumatic fever.
C. Erythrocyte sedimentation rate (ESR) is another marker of inflammation that can be elevated in rheumatic fever.
D. Antistreptolysin O (ASO) titer measures antibodies against streptolysin O produced by Group A Streptococcus, which can indicate recent streptococcal infection, contributing to the diagnosis of rheumatic fever.
E. Blood urea nitrogen (BUN) is not directly related to the diagnosis of rheumatic fever.
Correct Answer is C
Explanation
- A: Riding against the flow of traffic is unsafe because it increases the likelihood of an accident. Drivers do not expect to see cyclists coming from the opposite direction and may not have enough time to react if they encounter one.
- B: Keeping the bicycle at least 3 feet from the curb is not always practical or safe. It may place the cyclist in the path of moving traffic, which can be dangerous, especially for children who may not have the experience to navigate around cars safely.
- C: Walking the bicycle through intersections is a safe practice because it allows the child to navigate the intersection without being in the path of cars, giving them time to look for oncoming traffic and proceed when it is safe.
- D: The child's feet should be able to touch the ground when seated on the bicycle. This ensures that the child can maintain balance and control of the bicycle, especially in situations where they need to stop quickly.
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